Chapter 8 Student Worksheet

1. The nursing process is a problem-solving approach that assists the client in achieving a maximal level of
functioning and wellbeing.
2. Information that is provided by the client is subjective data.
3. Information that is observed by the nurse or provided by others who are familiar with the client situation is
referred to as objective data.
4. A nursing diagnosis consists of a problem that is related to a contributing factor and behavior or symptoms that
support the problem.
5. Goals and outcomes should be planned collaboratively with the client.

1. C – Assessment: collection of subjective and

objective data concerning the psychosocial
needs of the client.
2. D – Prioritize: defining immediately or intensity
of problems to determine the order in which
they will be addressed.
3. A - Nursing Diagnosis: Actual or potential
problem the nurse can legally address
4. E - Nursing Interventions: Actions taken to assist
client to achieve anticipate outcomes
5. F – Evaluation determines success of strategies
used in meeting anticipated criteria
6. B – Expected Outcome: measurable and realistic
goal that anticipates the improvement or
stabilization of the client

1. The nurse is assessing a client with chronic schizophrenia who has stopped taking medication and is being with
acute psychotic symptoms. The client’s perception of the present problem would best be documented by the
nurse:
a. Using exact words in client statements
b. With information obtained from the family
c. By observing behavior for several hours
d. As interpreted from the client’s thoughts

2. Which of the following is most important in establishing a trusting environment for the organized delivery of
nursing care to a client?
a. Cooperation of the client
b. A completed psychosocial assessment
c. The client’s perception of the current situation
d. Accepting and nonjudgmental attitude of the nurse

3. Which of the following is a component of the client’s mental status nursing assessment?
a. Past medical history
b. Mood and effect
c. Medical diagnosis
d. Nursing diagnosis
4. Which of the following terms would be descriptive of a client’s attitude?
a. Blunted
b. Remote
c. Uncooperative
d. Retarded
e. Apathetic

5. When gathering data concerning the present mental status of a client, the nurse would recognize which of the
following as a perceptual disturbance?
a. Persistent use of rationalization to explain present situation.
b. Describes reoccurring voices that are talking to him.
c. Inability to stay focused on question asked.
d. Retention of immediate happenings is decreased.

6. The nurse is working with a client who is having difficulty understanding and associating present symptoms with
the illness. In which of the following components of the mental status assessment would this information be
documented?
a. Insight
b. Level of awareness
c. Orientation
d. Judgment

7. After treating a client about a newly prescribed drug, the nurse asks the client to explain how he/she will take
the drug and what side effects to watch for. The nurse is executing which step of the nursing process?
a. Assessment
b. Planning of nursing diagnosis
c. Intervention implementation
d. Evaluation

8. Validation of the nursing process in the delivery of care is most evident in which phase of the care plan?
a. Assessment
b. Nursing diagnosis and planning
c. Interventions
d. Evaluation